Posted by shelliR on April 13, 2002, at 14:03:08
In reply to Re: I need help..fast, effexor and zyprexa, posted by mom on April 12, 2002, at 22:57:53
Hi,
First of all, I would check with your insurance about exactly what they will cover after 20 days. You need to definitively know whether they will cover the twenty days if she checks out against medical advice because her 20 days are up.
You should also check into other alternatives. If this is a private psychiatric hospital, perhaps they will cover a psych unit in a university related all purpose hospital. They are generally cheaper than a private hospital. But only switch hospitals if you can get her in one that you trust. Also find out if there is an supplemental insurance the state would offer her; also what the laws are in your state re parity for psychiatric illness. And you need to check into day programs, as well finding out if her hospital therapist could follow her outside of the hospital. (some do have private practices; others don't) The best thing is to be prepared so that all hell doesn't break loose on day twenty.
I wonder if it would help to get her a consult with another doctor in the hospital, or if all doctors will unconditionally support the original recommendations.
I think you *should* trust your instincts that tell you that your daughter's behavior is very different since she's changed medication. She shouldn't need zyprexa as a prn; any benzo at a high enough dose should calm her down. At least long enough to test your theories. Unfortunately psychiatrists often are the most pompous when it comes to accepting input from others.
sorry, I wish there was more I could advise you to do; I can imagine how tough this is to go through, as her mom. At least your daughter did come to you when she was having very self-destructive thoughts. That's a good sign.
Shelli
poster:shelliR
thread:102912
URL: http://www.dr-bob.org/babble/20020408/msgs/102965.html